Organization
HABIB A. ISMAIL, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HABIB A. ISMAIL M.D. (OWNER)
(626) 914-2831
Entity
Organization
Contact information
Practice address
1330 W COVINA BLVD, SUITE 103, SAN DIMAS, CA 91773-3200
(626) 914-2831
(909) 599-6217
Mailing address
1330 W COVINA BLVD, SUITE 103, SAN DIMAS, CA 91773-3200
(626) 914-2831
(909) 599-6217
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A43523
CA
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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